University of Maryland Global Campus

CNSL 653: Sexual Issues in Marriage and Family Therapy

A study guide to UMGC's CNSL 653, an elective on sex research history, common sexual concerns and systemic assessment and treatment.

Updated October 2026 · 5 min read

CNSL 653 prepares counselors to talk about sex professionally and to understand sexual problems in the context of relationships.

UMGC describes it as a study of the history of sex research and sex therapy. Common sexual issues and dysfunctions seen by marriage and family therapists are defined, basic traditional therapeutic models for treating sexual problems are discussed, and the systemic basis of sexual issues is explored in an interpersonal context, including systemic assessment, diagnosis and treatment.

Prerequisites are CNSL 621 and CNSL 622, and it is an approved elective. Students often find the main challenge is comfort: writing clinically and without judgment about a subject many people avoid.

Course at a Glance

ItemDetails
UniversityUniversity of Maryland Global Campus (UMGC)
Course codeCNSL 653
Credits3
ProgramMS in Clinical Professional Counseling (approved elective)
PrerequisitesCNSL 621 and CNSL 622
Typical workResearch papers, case analyses, discussions, self-reflection

What CNSL 653 Covers

Milestones in Sex Research and Therapy

Figure or developmentContribution
Alfred KinseyLarge interview studies of sexual behavior in mid-twentieth-century America
Masters and JohnsonLaboratory study of sexual response; a short-term behavioral therapy format
Helen Singer KaplanIntegrated behavioral and psychodynamic ideas; added desire to the response cycle
Later modelsCircular and responsive models of desire, especially in women's sexuality

Key Concepts Explained

Sensate Focus

Sensate focus, developed by Masters and Johnson, is a structured series of touching exercises that removes performance pressure and builds attention to sensation. It remains a common element of traditional sex therapy.

Example: A couple reports avoiding intimacy after repeated difficulty with arousal. The counselor first rules out medical causes by encouraging a medical check, then introduces sensate focus with intercourse temporarily off the table. Without pressure, anxiety falls, the couple reconnects physically, and the counselor explores the relationship patterns that grew around the problem.

Systemic View of Sexual Problems

In a systemic view, a sexual difficulty is shaped by and shapes the relationship. Conflict, resentment, stress, family-of-origin messages and cultural beliefs can all play a part, so assessment looks at the couple, not just one partner's symptom.

Medical and Cultural Factors

Many sexual problems have physical contributors, including medications and health conditions. Counselors refer for medical evaluation as standard. Religious and cultural values also shape what clients see as a problem and what treatment is acceptable.

Systemic Assessment

Assessment in sex therapy combines a sexual history with a relationship assessment. Questions cover the onset and context of the concern, whether it is lifelong or acquired, situational or general, each partner's understanding of it, and how the couple has responded.

Use clear, respectful language and ask permission before detailed questions. Interviewing partners together and separately can each reveal different information, and assignments may ask you to justify which you would use first.

Counselors also check scope: sex therapy is a specialty, and complex cases may need referral to a specifically trained and certified sex therapist.

Typical Assignments and How to Approach Them

Assignment typeWhat it testsHow to approach it
Historical paperKnowledge of the field's developmentTrace how ideas changed and why it matters for practice
Case analysisSystemic assessment and treatmentCover medical rule-out, relationship context and a treatment plan
Dysfunction research paperDepth on one concernDefine it, discuss causes and evidence-based treatment
Self-reflectionComfort and valuesName your attitudes honestly and how you will manage them

Where Students Get Stuck

Study Tips for CNSL 653

How We Help with CNSL 653

Send the prompt, case, rubric and readings. A writer with knowledge of couple and sex therapy can prepare a custom paper or case analysis, explain historical and systemic concepts, or review your draft. Our counseling assignment help guide covers related courses.

GradeEssays is independent of the University of Maryland Global Campus. Our work is academic study support, not clinical advice; submit only your own work under UMGC's academic integrity policy.

Approach Sexual Issues Systemically

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Frequently Asked Questions

What are the prerequisites for CNSL 653?

UMGC lists CNSL 621 and CNSL 622.

Is CNSL 653 a sex therapy certification course?

No. It is a 3-credit elective in the MS in Clinical Professional Counseling. Certification as a sex therapist involves separate training requirements.

What does "systemic" mean in this course?

It means sexual issues are understood within the relationship and wider context rather than as one person's problem alone.

Why refer for a medical check?

Many sexual difficulties have physical contributors, such as medication or health conditions, which should be assessed by a medical professional.

How is CNSL 653 different from CNSL 651?

CNSL 651 covers couples work broadly, including infidelity. CNSL 653 focuses on sexual issues, their history and systemic treatment.

Can you help with a CNSL 653 paper?

Yes. We prepare custom papers or give feedback in a professional, clinical tone.